Review Colpocleisis revisited

Key content: Colpocleisis is used to treat advanced pelvic organ prolapse in older women who are too frail for conventional surgery and who are no longer sexually active. It is quick, easy, effective and associated with low recurrence rates and high patient satisfaction. Other procedures can be performed concomitantly for stress urinary incontinence and deficient perineum. Learning objectives: To understand the indications, alternatives, advantages and procedure of colpocleisis. To review the available data on effectiveness and complications. Ethical issues: Is colpocleisis an appropriate choice in sexually inactive women under 70 years in whom other corrective procedures have failed?